JP6842794B2 - Topical skin preparation - Google Patents

Topical skin preparation Download PDF

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JP6842794B2
JP6842794B2 JP2015076611A JP2015076611A JP6842794B2 JP 6842794 B2 JP6842794 B2 JP 6842794B2 JP 2015076611 A JP2015076611 A JP 2015076611A JP 2015076611 A JP2015076611 A JP 2015076611A JP 6842794 B2 JP6842794 B2 JP 6842794B2
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itching
diphenhydramine
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tocopherol
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JP2016196419A (en
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崇剛 小林
崇剛 小林
高明 濱口
高明 濱口
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万協製薬株式会社
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Description

本発明は、皮膚外用製剤に関する。 The present invention relates to an external preparation for skin.

近年、我が国では生活環境の変化、急激な高齢化、様々なストレスなどによって、痒みを伴う皮膚疾患(特にアトピー性皮膚炎、乾燥性皮膚症、敏感肌など)を患う人が増加している。これらの皮膚疾患には、強い痒み・肌荒れが伴う。その治療には、クロタミトン・抗ヒスタミン剤などの鎮痒成分、ヘパリン類似物質などの保湿成分を有効成分とする外用剤が用いられている。
このうち、ヘパリン類似物質は、血行促進作用を持つムコ多糖類の多硫酸化エステルで、その構造中に硫酸基、カルボキシル基、水酸基などを多く含むことから、高い保湿能を有し、既に乾燥性皮膚疾患等の治療を目的として一般用医薬品としても利用されている。
乾燥性皮膚(老人・成人の乾皮症、小児の乾燥性皮膚)は、乾燥性皮膚疾患の代表的な症状であり、老人・成人においては皮膚の老化(加齢に伴う生理的変化)によって発生し、小児においては成人に比べて角質層が薄く、皮脂の分泌量が不安定でバリア機能がまだ安定していないことによって発生する。いずれの場合も、皮膚が乾燥して粗ぞうとなり、多くの場合に自覚症状として掻痒(かゆみ)を伴う。痒みの程度は強いことが多く、患者は常時しきりに激しく患部を掻くので痒みは増し、さらに掻きむしることによって皮膚に炎症が生じて症状が悪化し、二次的に湿疹化が進むことがある。
In recent years, an increasing number of people in Japan suffer from itchy skin diseases (particularly atopic dermatitis, dry dermatitis, sensitive skin, etc.) due to changes in the living environment, rapid aging, and various stresses. These skin diseases are accompanied by strong itching and rough skin. For the treatment, external preparations containing antipruritic ingredients such as crotamiton and antihistamine and moisturizing ingredients such as heparinoids as active ingredients are used.
Of these, heparinoids are polysulfated esters of mucopolysaccharides that have a blood circulation promoting effect, and because their structures contain many sulfate groups, carboxyl groups, hydroxyl groups, etc., they have high moisturizing ability and are already dry. It is also used as an over-the-counter drug for the purpose of treating sexual skin diseases.
Dry skin (xeroderma in the elderly and adults, dry skin in children) is a typical symptom of dry skin diseases, and in the elderly and adults, due to skin aging (physiological changes with aging). It occurs because the stratum corneum is thinner in children than in adults, the amount of sebum secreted is unstable, and the barrier function is not yet stable. In either case, the skin becomes dry and rough, often accompanied by itching as a subjective symptom. The degree of itching is often strong, and the patient constantly scratches the affected area violently, resulting in increased itching, and further scratching may cause inflammation of the skin, exacerbating the symptoms, and secondary eczema.

このような悪循環を断ち切り、不快症状である痒みを緩和するとともに湿疹化を防止する目的として、多くの研究開発が行われている(特許文献1および2を参照)。
特許文献1には、外用抗ヒスタミン剤であるジフェンヒドラミンとヘパリン類似物質とを配合し、痒みを伴う乾燥性皮ふ疾患の効能・効果を持ち合わせた外用製剤が開示されている。しかし、ヘパリン類似物質の作用は不足した水分を補うことであり、ジフェンヒドラミンの作用は痒みを緩和することであり、いずれも対症療法的なものに過ぎないため、皮膚疾患を根本的に治療させることは難しかった。
すなわち、乾燥性皮膚疾患を部位別又は疾患別に記すと、手指の荒れ、ひじ・ひざ・かかと・くるぶしの角化症、手足のひび・あかぎれ、乾皮症、小児の乾燥性皮膚などが例示される。このうち、手指の荒れ、乾皮症、角化症においては病状を呈した皮膚組織が正常な状態までに置き換わるいわゆるターンオーバーを促進する作用が、ひび・あかぎれにおいては割れた皮膚組織の治療を促進する作用が、それぞれ必要であると考えられた。そこで、皮膚組織を正常な状態に回復するのを助けるビタミン(トコフェロール酢酸エステル)及び皮膚組織の修復作用を持つアラントインを添加するという工夫がなされた(特許文献2)。
Much research and development has been carried out for the purpose of breaking such a vicious cycle, alleviating itching, which is an unpleasant symptom, and preventing eczema (see Patent Documents 1 and 2).
Patent Document 1 discloses an external preparation containing diphenhydramine, which is an external antihistamine, and a heparinoid, and having the efficacy and effect of dry skin disease accompanied by itching. However, the action of heparinoids is to supplement the lack of water, and the action of diphenhydramine is to relieve itching, both of which are symptomatic treatments, so that skin diseases should be treated radically. Was difficult.
That is, when dry skin diseases are described by site or disease, rough fingers, keratosis of elbows / knees / heels / ankles, cracks / cracks of limbs, xerosis, dry skin of children, etc. are exemplified. To. Of these, in rough hands, xerosis, and keratosis, the action of promoting so-called turnover, in which the skin tissue presenting the condition is replaced to a normal state, is effective in treating cracked skin tissue in cracks and cracks. It was considered that each of the promoting actions was necessary. Therefore, a device was devised to add a vitamin (tocopherol acetate) that helps restore the skin tissue to a normal state and allantoin that has a skin tissue repairing action (Patent Document 2).

特開2010−180206号公報Japanese Unexamined Patent Publication No. 2010-180206 特開2011−231128号公報Japanese Unexamined Patent Publication No. 2011-231128

上記の工夫にも拘わらず、痒みを伴う乾燥性皮膚疾患について、根本的な治療を促し得る皮膚外用製剤は、十分に提供されているとは言い難い状況であった。
本発明は、上記した事情に鑑みてなされたものであり、その目的は、痒みを抑えると共に皮膚組織を正常な状態に回復することにより、痒みを伴う乾燥性皮膚疾患を根本的に治療し得る皮膚外用製剤を提供することである。
In spite of the above-mentioned measures, it is difficult to say that an external preparation for skin that can promote a radical treatment for a dry skin disease accompanied by itching is sufficiently provided.
The present invention has been made in view of the above circumstances, and an object of the present invention is to radically treat a dry skin disease accompanied by itching by suppressing itching and restoring the skin tissue to a normal state. To provide an external preparation for skin.

上記目的を達成するための発明に係る皮膚外用製剤は、(A)ヘパリン類似物質と、(B)トコフェロール、トコフェロール酢酸エステル、ニコチン酸トコフェロール、リノレン酸トコフェロール、コハク酸トコフェロール、パンテノール及びビタミンA類からなる群より選択される少なくとも一種と、(C)グリチルリチン酸、グリチルレチン酸、グリチルレチン酸ステアリル、アラントイン、及びそれらの塩からなる群より選択される少なくとも一種の抗炎症剤と、(D)ジフェンヒドラミン及び塩酸ジフェンヒドラミンからなる群から選択される少なくとも一種の鎮痒剤とを含むことを特徴とする。
本発明において、(A)ヘパリン類似物質の含量は、全体の0.2〜0.4質量%(好ましくは0.3質量%)、(B)トコフェロール、トコフェロール酢酸エステル、ニコチン酸トコフェロール、リノレン酸トコフェロール、コハク酸トコフェロール、パンテノール及びビタミンA類からなる群より選択される少なくとも一種の含量は、全体の0.001〜1質量%(好ましくは0.01〜0.8質量%、更に好ましくは0.1〜0.7質量%、更に好ましくは0.4〜0.6質量%)、(C)抗炎症剤の含量は、全体の0.01〜5質量%(好ましくは0.05〜1質量%、更に好ましくは0.1〜0.5質量%)、(D)鎮痒剤の含量は、全体の0.1〜2質量%(好ましくは0.5〜1.5質量%)である。
The external preparations for skin according to the invention for achieving the above objectives include (A) heparin-like substances, (B) tocopherol, tocopherol acetate, tocopherol nicotinate, tocopherol linolenate, tocopherol succinate, panthenol and vitamin A. At least one selected from the group consisting of (C) glycyrrhetinic acid, glycyrrhetinic acid, stearyl glycyrrhetinate, allantin, and at least one anti-inflammatory agent selected from the group consisting of salts thereof, and (D) diphenhydramine and It is characterized by containing at least one antipruritic agent selected from the group consisting of diphenhydramine hydrochloride.
In the present invention, the content of (A) heparin-like substance is 0.2 to 0.4% by mass (preferably 0.3% by mass), and (B) tocopherol, tocopherol acetate, tocopherol nicotinate, linolenic acid. The content of at least one selected from the group consisting of tocopherol, tocopherol succinate, pantenol and vitamin A is 0.001 to 1% by mass (preferably 0.01 to 0.8% by mass, more preferably 0.01 to 0.8% by mass). 0.1 to 0.7% by mass, more preferably 0.4 to 0.6% by mass), (C) The content of the anti-inflammatory agent is 0.01 to 5% by mass (preferably 0.05 to 0.05%). 1% by mass, more preferably 0.1 to 0.5% by mass), and (D) the content of the antipruritic agent is 0.1 to 2% by mass (preferably 0.5 to 1.5% by mass). is there.

ヘパリンとは、生体内では主として肝臓において生成されるグリコサミノグリカンの一種である。抗凝固作用を有しており、血栓塞栓症・播種性血管内凝固症候群(DIC)の治療薬、人工透析・体外循環における血液の凝固防止などの用途がある。ヘパリン類似物質とは、ヘパリン、及びヘパリンが修飾・一部分解されたものであって、ヘパリンと同様の生理活性を備えたものを意味する。
ビタミンA類とは、レチノール、レチナール、レチノイン酸及びこれらの3-デヒドロ体並びにこれらの誘導体を総称したものを意味する。
皮膚外用製剤の剤形としては、例えばクリーム、乳液、軟膏、ゲル剤などが含まれる。
Heparin is a type of glycosaminoglycan produced mainly in the liver in the living body. It has an anticoagulant effect, and is used as a therapeutic agent for thromboembolism / disseminated intravascular coagulation (DIC), artificial dialysis, and prevention of blood coagulation in extracorporeal circulation. The heparinoid means heparin and a substance obtained by modifying or partially decomposing heparin and having the same physiological activity as heparin.
Vitamin A means a general term for retinol, retinal, retinoic acid, their 3-dehydroforms, and derivatives thereof.
Dosage forms of external preparations for skin include, for example, creams, emulsions, ointments, gels and the like.

本発明によれば、痒みを抑えると共に、皮膚組織を正常な状態に回復することにより、痒みを伴う乾燥性皮膚疾患を根本的に治療し得る皮膚外用製剤を提供できる。 According to the present invention, it is possible to provide an external preparation for skin capable of radically treating a dry skin disease accompanied by itching by suppressing itching and restoring the skin tissue to a normal state.

次に、本発明の実施形態について、図表を参照しつつ説明するが、本発明の技術的範囲は、これらの実施形態によって限定されるものではなく、発明の要旨を変更することなく様々な形態で実施することができる。
<試験方法>
1.各組成物の調製
有効成分として、ヘパリン類似物質、トコフェロール酢酸エステル、アラントイン及びジフェンヒドラミン含む皮膚外用製剤(試験組成物)としてのクリームを調製した。
一方、有効成分として、ヘパリン類似物質及びジフェンヒドラミンを含む皮膚外用製剤(比較組成物1)、及びヘパリン類似物質、パンテノール、トコフェロール酢酸エステル、アラントイン及びジフェンヒドラミンを含む皮膚外用製剤(比較組成物2)を調製した。なお、各組成物において、他の配合成分は同一に調製した。
各組成物の用量は、表1に記載の通りとした。
Next, embodiments of the present invention will be described with reference to figures and tables, but the technical scope of the present invention is not limited to these embodiments, and various embodiments without changing the gist of the invention. Can be carried out at.
<Test method>
1. 1. Preparation of each composition A cream as an external preparation for skin (test composition) containing a heparinoid, tocopherol acetate, allantoin and diphenhydramine as an active ingredient was prepared.
On the other hand, as an active ingredient, a skin external preparation containing a heparinoid and diphenhydramine (comparative composition 1), and a skin external preparation containing a heparinoid, panthenol, tocopherol acetate, allantin and diphenhydramine (comparative composition 2). Prepared. In addition, in each composition, other compounding components were prepared in the same manner.
The dose of each composition was as shown in Table 1.

Figure 0006842794
Figure 0006842794

2.角質水分量の測定
肌荒れによる痒みを訴える被験者各5名(全15名)を対象とし、肌荒れ改善効果を評価した。
具体的には、各被験組成物を手の甲に対し、就寝前及び乾燥が気になった時に適量を塗布させた。使用前と、使用開始5日後(使用後)の電気伝導度(μs)を表角層水分量測定装置(SKICON-200EX、アイ・ビー・エス株式会社製)により測定した。各水分値は、各被験者について、3点での測定値の平均値で示した。水分相対値として、使用後水分値/使用前水分値を算出した。
2. Measurement of keratin water content We evaluated the effect of improving rough skin in 5 subjects (15 in total) who complained of itching due to rough skin.
Specifically, each test composition was applied to the back of the hand in an appropriate amount before going to bed and when dryness was a concern. The electrical conductivity (μs) before use and 5 days after the start of use (after use) was measured with a surface stratum corneum water content measuring device (SKICON-200EX, manufactured by IBS Co., Ltd.). Each moisture value was shown as the average value of the measured values at three points for each subject. As the relative moisture value, the post-use moisture value / pre-use moisture value was calculated.

3.官能評価試験
肌荒れによる痒みを訴える被験者各5名の患部に各被験組成物を塗布し、次の5種類のパラメータを用いて評価した。すなわち、(1)使用感(塗布しやすい場合を5点、塗布しにくい場合を1点)、(2)肌状態の改善(肌が乾燥した状態が改善された場合を5点、肌が乾燥した状態が改善しなかった場合を1点)、(3)かゆみ止め効果(かゆみが止まった場合を5点、かゆみが止まらなかった場合を1点)、(4)かゆみの再発抑制効果(塗った日に再発して患部を掻かなかった場合を5点、塗った日に再発して患部を掻いた場合を1点)、及び(5)肌改善の持続性(塗る前に肌が乾燥した状態が改善されてきたと感じた場合を5点、塗る前に肌が乾燥した状態が改善されてきていないと感じた場合を1点)とした。各パラメータについて、5段階で評価を行った。
各被験者による評点を合計し、合計点が21〜25点:◎、16〜20点:○、11〜15点:△、11点未満:×とした。
3. 3. Sensory evaluation test Each test composition was applied to the affected areas of 5 subjects who complained of itching due to rough skin, and evaluation was performed using the following 5 types of parameters. That is, (1) usability (5 points when it is easy to apply, 1 point when it is difficult to apply), (2) improvement of skin condition (5 points when dry skin is improved, dry skin). 1 point if the condition did not improve), (3) Anti-itch effect (5 points if the itch stopped, 1 point if the itch did not stop), (4) Suppressing the recurrence of itching (painting) 5 points for recurrence on the day when the affected area was not scratched, 1 point for recurrence on the day of application and scratching the affected area), and (5) Persistence of skin improvement (skin dried before application) 5 points were given when the condition was felt to be improved, and 1 point was given when the dry skin was not improved before application). Each parameter was evaluated on a 5-point scale.
The scores of each subject were totaled, and the total score was 21 to 25 points: ⊚, 16 to 20 points: ○, 11 to 15 points: Δ, and less than 11 points: ×.

<試験結果>
表2〜表4には、角質水分量(使用前及び使用後のもの)及び官能評価の結果を示した。
<Test results>
Tables 2 to 4 show the water content of the keratin (before and after use) and the results of the sensory evaluation.

Figure 0006842794
Figure 0006842794

Figure 0006842794
Figure 0006842794

Figure 0006842794
Figure 0006842794

上記結果に示すように、試験組成物は、比較組成物に比べると、水分相対値(使用後水分値/使用前水分値)に優れていた。また、官能評価においても、比較組成物よりも高値を示した。こうして、試験組成物は、角質を正常化して手荒れを改善する効果及びかゆみの再発をおさえて肌改善の持続性を上げる効果に優れていることが明らかになった。
<その他の組成物の調製>
次に、その他の組成物について調製を行った。
1.乳液の調製
ヘパリン類似物質0.3g、トコフェロール酢酸エステル0.5g、アラントイン0.2g及びジフェンヒドラミン1.0gに対し、セタノール1.0g、ステアリルアルコール0.5g、白色ワセリン4g、精製水適量を加えて乳液を調製した。
2.軟膏の調製
ヘパリン類似物質0.3g、トコフェロール酢酸エステル0.5g、アラントイン0.2g及びジフェンヒドラミン1.0gに対し、マクロゴール4000 30g、マクロゴール400適量を加えて軟膏を調製した。
3.ゲル剤の調製
ヘパリン類似物質0.3g、トコフェロール酢酸エステル0.5g、アラントイン0.2g及びジフェンヒドラミン1.0gに対し、エタノール40g、ヒプロメロース0.5g、ヒドロキシエチルセルロース0.5g、精製水適量を加えてゲル剤を調製した。
上記各組成物についてもクリームに示した効果と同様の効果が認められた。
このように、本実施形態によれば、痒みを抑えると共に皮膚組織を正常な状態に回復することにより、痒みを伴う乾燥性皮膚疾患を根本的に治療し得る皮膚外用製剤を提供できた。
As shown in the above results, the test composition was superior in the relative water content (moisture value after use / moisture value before use) as compared with the comparative composition. Also, in the sensory evaluation, the value was higher than that of the comparative composition. Thus, it was clarified that the test composition is excellent in the effect of normalizing the keratin and improving the rough hands and the effect of suppressing the recurrence of itching and increasing the sustainability of the skin improvement.
<Preparation of other compositions>
Next, other compositions were prepared.
1. 1. Preparation of milky lotion A milky lotion was prepared by adding 1.0 g of cetanol, 0.5 g of stearyl alcohol, 4 g of white petrolatum, and an appropriate amount of purified water to 0.3 g of a heparinoid, 0.5 g of tocopherol acetate, 0.2 g of allantin and 1.0 g of diphenhydramine.
2. Preparation of ointment An ointment was prepared by adding an appropriate amount of Macrogol 4000 30 g and Macrogol 400 to 0.3 g of a heparinoid, 0.5 g of tocopherol acetate, 0.2 g of allantin and 1.0 g of diphenhydramine.
3. 3. Preparation of gel preparation A gel preparation was prepared by adding 40 g of ethanol, 0.5 g of hypromellose, 0.5 g of hydroxyethyl cellulose, and an appropriate amount of purified water to 0.3 g of a heparinoid, 0.5 g of tocopherol acetate, 0.2 g of allantin and 1.0 g of diphenhydramine.
The same effect as that shown in the cream was observed for each of the above compositions.
As described above, according to the present embodiment, it has been possible to provide an external preparation for skin capable of radically treating a dry skin disease accompanied by itching by suppressing itching and restoring the skin tissue to a normal state.

Claims (1)

(A)ヘパリン類似物質と、(B)トコフェロール酢酸エステルと、(C)アラントインと、(D)ジフェンヒドラミンと、(E)ステアリルアルコールと、(F)白色ワセリンを含み、(G)塩酸クロルヘキシジン、塩化ベンザルコニウム、塩化ベンゼトニウム、塩化デカリウム、ビオゾール及びフェノールを含む殺菌剤パンテノール並びにスクワランを含まないクリームである皮膚外用製剤。 (A) and heparinoid, (B) includes a tocopherol acetate, and (C) allantoin, and (D) diphenhydramine, and (E) stearyl alcohol, and (F) white Waseri emissions, (G) chlorhexidine hydrochloride, Topical skin preparations that are creams free of benzalkonium chloride, benzethonium chloride, depotassium chloride, biosols and phenolic fungicides , panthenol and squalane.
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